A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

Thrombocytopenia

Rheumatoid arthritis

COPD

Thalassemia

Answer and Explanation

The Correct Answer is A

Choice A rationale: Thrombocytopenia (a low platelet count) is a contraindication to heparin therapy because heparin can further increase the risk of bleeding in individuals with reduced platelet levels.
Choice B rationale: Rheumatoid arthritis is not a contraindication to heparin therapy. It is an autoimmune condition affecting the joints.
Choice C rationale: COPD (Chronic Obstructive Pulmonary Disease) is not a contraindication to heparin therapy. Heparin primarily affects the circulatory system.

Choice D rationale: Thalassemia is not a contraindication to heparin therapy.
Thalassemia is a genetic blood disorder affecting hemoglobin production.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice Arationale: A client with thrombocytopenia reporting a nosebleed may need intervention, but it is not an immediate concern unless severe bleeding is present.

Choice Brationale: A client with left-sided paralysis and slurred speech from a prior stroke may need attention, but their airway and oxygenation should take precedence.

Choice C rationale: A client with multiple sclerosis reporting ataxia and vertigo may need assessment and care, but their symptoms are not indicative of an immediate life-threatening situation.

Choice D rationale: A client with chronic obstructive pulmonary disease and an oxygen saturation of 89% requires immediate attention, as this indicates potential respiratory distress and hypoxemia.

A. Cachexia B. Hyperproteinemia C. Diplopia D. Hypermagnesemia

Correct Answer is A

Explanation

Choice A rationale: Cachexia, or extreme wasting and malnutrition, is a common finding in individuals with severe malnutrition.
Choice B rationale: Hyperproteinemia (increased protein levels) is not typically associated with malnutrition.
Choice C rationale: Diplopia (double vision) is not a direct finding of malnutrition. Choice D rationale: Hypermagnesemia (elevated magnesium levels) is not a typical finding in malnutrition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to first?

Correct Answer is D

Explanation

A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is setting up a sterile field before performing a dressing change on a client who is postoperative. Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that apply.)

A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?

A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?

A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse take first?

A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following action should the nurse take to show consideration for the client and the service animal?

A nurse caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following Interventions should the nurse take?

A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take?

A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an Indication that the medication is effective?